[Family environment and attention-deficit hyperactivity disorder].

Abstract:

OBJECTIVE:To analyze factors associated with attention-deficit and hyperactivity disorder in children. METHODS:This is a longitudinal study about behavior problems in schoolchildren that was carried out in the city of São Gonçalo (Southeastern Brazil) in 2005. A total of 479 students from public schools was analyzed, selected through three-stage cluster sampling. The Child Behavior Checklist was used to measure the outcome. A questionnaire was administered to parents/guardians concerning the exposure factors, which were: child's and family's profile, family relationship variables, physical and psychological violence. The log-binomial regression model with a hierarchical approach was employed in the analysis. RESULTS:Higher intelligence quotient was inversely associated with the frequency of the disorder (PR=0.980 [95%CI 0.963;0.998]). The prevalence of the disorder in the children was higher when there was family dysfunction than among families with a better way of relating (PR=2.538 [95%CI 1.572; 4.099]). Children who suffered verbal abuse from the mother had a prevalence 3.7 times higher than the ones not exposed to this situation in the last year (PR=4.7 [95%CI 1.254;17.636]). CONCLUSIONS:Negative family relationships are associated with symptoms of Attention-Deficit and Hyperactivity Disorder. Its association with the intelligence quotient reiterates the importance of the genetic and environmental basis at the origin of the disorder.

journal_name

Rev Saude Publica

journal_title

Revista de saude publica

authors

Pires Tde O,Silva CM,Assis SG

doi

10.1590/s0034-89102012005000043

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

624-32

issue

4

eissn

0034-8910

issn

1518-8787

pii

S0034-89102012005000043

journal_volume

46

pub_type

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